JP2016511042A5 - - Google Patents
Download PDFInfo
- Publication number
- JP2016511042A5 JP2016511042A5 JP2015559252A JP2015559252A JP2016511042A5 JP 2016511042 A5 JP2016511042 A5 JP 2016511042A5 JP 2015559252 A JP2015559252 A JP 2015559252A JP 2015559252 A JP2015559252 A JP 2015559252A JP 2016511042 A5 JP2016511042 A5 JP 2016511042A5
- Authority
- JP
- Japan
- Prior art keywords
- stent
- distal tip
- assembly
- cable
- guide assembly
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 230000000750 progressive Effects 0.000 claims 2
- 239000004615 ingredient Substances 0.000 claims 1
Claims (12)
複数の細長いケーブルであって、各ケーブルが、前記細長いシャフトを越えて延在し、第一端部と、ステントグラフト人工補綴具のステントの最端クラウンと係合するよう構成された中間部と、前記ステントグラフト人工補綴具を越えて遠位に延在する第二端部とを有する複数の細長いケーブルと、
前記シャフト上に配置されるガイドアセンブリと、
前記シャフトの遠位端部に結合される遠位先端部アセンブリであって、遠位先端部アセンブリ及び前記ガイドアセンブリが互いに対して移動可能であり、遠位先端部アセンブリの一部が前記ガイドアセンブリの遠位部の外表面を越えて近位に延在し、前記ケーブルの第二端部を前記ガイドアセンブリの遠位部の外表面と遠位先端部アセンブリの内表面の間で、遠位先端部アセンブリ及び前記ガイドアセンブリの第一相対位置において拘束し、また、遠位先端部アセンブリが、遠位先端部アセンブリ及び前記ガイドアセンブリの第二相対位置において前記ケーブルの第二端部を拘束しない、前記遠位先端部アセンブリと、
を備えるステントグラフト送達システムであって、
前記遠位先端部アセンブリ及び前記ガイドアセンブリの第一相対位置においては、前記ステントの最端クラウンの漸進的な連続的な拡張のために前記ケーブルの張力を選択的に低下させることができ、前記ステントの最端クラウンの漸進的な連続的な半径方向への収縮のために前記ケーブルの張力を選択的に増大させることができる、
ことを特徴とするステントグラフト送達システム。 An elongated shaft;
A plurality of elongate cables, each cable extending beyond the elongate shaft, and having a first end and an intermediate portion configured to engage an endmost crown of a stent of a stent-graft prosthesis; A plurality of elongated cables having a second end extending distally beyond the stent-graft prosthesis;
A guide assembly disposed on the shaft;
A distal tip assembly coupled to a distal end of the shaft, wherein the distal tip assembly and the guide assembly are movable relative to each other, a portion of the distal tip assembly being part of the guide assembly Extending proximally beyond the outer surface of the distal portion of the distal end of the cable, the second end of the cable distally between the outer surface of the distal portion of the guide assembly and the inner surface of the distal tip assembly The tip assembly and the guide assembly are restrained at a first relative position, and the distal tip assembly does not restrain the second end of the cable at a second relative position of the distal tip assembly and the guide assembly. The distal tip assembly; and
A stent graft delivery system comprising:
In the first relative position of the distal tip assembly and the guide assembly, the cable tension can be selectively reduced due to the progressive continuous expansion of the endmost crown of the stent; The cable tension can be selectively increased due to a gradual continuous radial contraction of the extreme crown of the stent;
A stent graft delivery system characterized by the above.
請求項1に記載のステントグラフト送達システム。 The guide assembly includes an elongated multi-lumen shaft, each cable passing through one of a plurality of lumens defined by the multi-lumen shaft;
The stent graft delivery system according to claim 1.
請求項2に記載のステントグラフト送達システム。 An annular stop is coupled to the outer surface of the multi-lumen shaft and an intermediate portion of the cable surrounds the outermost crown to pull the stent against the annular stop;
The stent graft delivery system according to claim 2.
請求項3に記載のステントグラフト送達システム。 The distal tip assembly moves relative to the guide assembly;
4. The stent graft delivery system according to claim 3.
請求項4に記載のステントグラフト送達システム。 When the distal tip assembly moves distally relative to the guide assembly, the second end of the cable is in the distal tip when the guide assembly and the distal tip assembly are in a second relative position. Proximal to the assembly,
5. The stent graft delivery system according to claim 4.
請求項1に記載のステントグラフト送達システム。 The guide assembly includes a guide component, each cable extends through a groove formed on an outer surface of the tapered distal portion of the guide component, and an intermediate portion of the cable is a stent of the stent-graft prosthesis. Extending beyond the most distal crown and covering the most distal crown of the stent of the stent-graft prosthesis,
The stent graft delivery system according to claim 1.
請求項6に記載のステントグラフト送達システム。 The guide assembly moves relative to the distal tip assembly;
The stent graft delivery system according to claim 6.
請求項7に記載のステントグラフト送達システム。 When the guide assembly moves proximally with respect to the distal tip assembly and the guide assembly and the distal tip assembly are in a second relative position, the second end of the cable is the distal tip. At the proximal end of the assembly,
8. The stent graft delivery system according to claim 7.
請求項8に記載のステントグラフト送達システム。 An inner surface of the distal tip assembly includes a thread that mates with a thread on the outer surface of the guide assembly, and rotation of the elongate shaft causes the distal tip assembly to rotate, resulting in the guide assembly being longitudinal. Will move in the direction,
9. The stent graft delivery system according to claim 8.
前記細長いシャフト上に配置されかつ前記遠位先端部アセンブリの近位に配置される自己拡張型ステントグラフト人工補綴具であって、前記ステントグラフト人工補綴具が、管状移植片に結合された半径方向に圧縮可能なステントを含み、前記ケーブルの中間部が前記ステントの最端クラウンを選択的に拘束する、前記自己拡張型ステントグラフト人工補綴具と、をさらに備える、
請求項1に記載のステントグラフト送達システム。 A retractable outer sheath defining a lumen, wherein the outer sheath is slidably received within the lumen of the outer sheath;
A self-expanding stent graft prosthesis disposed on the elongate shaft and proximal to the distal tip assembly, wherein the stent graft prosthesis is radially compressed coupled to a tubular graft. The self-expanding stent-graft prosthesis further comprising a possible stent, wherein the middle portion of the cable selectively restrains the most distal crown of the stent;
The stent graft delivery system according to claim 1.
請求項1に記載のステントグラフト送達システム。 The plurality of cables are elongated strands having a first diameter, and a second end of the cable has a second diameter longer than the first diameter;
The stent graft delivery system according to claim 1.
前記細長いシャフト上に配置される自己拡張型ステントグラフト人工補綴具であって、前記ステントグラフト人工補綴具が、管状移植片に結合された半径方向に圧縮可能なステントを含む、前記自己拡張型ステントグラフト人工補綴具と、
各ケーブルが前記細長いシャフトを越えて延在し、第一端部及び前記ステントグラフト人工補綴具を越えて遠位に延在する第二端部を含む、複数の細長いケーブルと、
前記シャフト上に配置されるガイドアセンブリであって、前記ガイドアセンブリの遠位部が前記ケーブルの第二端部を受けるよう構成された前記ガイドアセンブリと、
前記シャフトの遠位端部に結合される遠位先端部アセンブリであり、遠位先端部アセンブリ及び前記ガイドアセンブリが互いに対して移動可能である、前記遠位先端部アセンブリと、を備えるステントグラフト送達システムであり、
前記遠位先端部アセンブリ及び前記ガイドアセンブリの第一相対位置において、前記ケーブルの第二端部を一時的に拘束するために前記遠位先端部アセンブリの近位部が前記ガイドアセンブリの遠位部の外表面を越えて延在し、また各ケーブルの中間部が前記ステントの最端クラウンを拘束することによって前記ケーブルの張力を選択的に調整することができるようになり、前記ステントの最端クラウンの漸進的な連続的な半径方向への拡張及び収縮がいずれも可能になり、
前記遠位先端部アセンブリ及び前記ガイドアセンブリの第二相対位置において、前記遠位先端部アセンブリの近位部が前記ガイドアセンブリの遠位部の外表面を越えて延在せず、前記遠位先端部アセンブリが前記ケーブルの第二端部を拘束せず、各ケーブルの前記中間部が前記ステントの最端クラウンを拘束しない、
ことを特徴とするステントグラフト送達システム。 An elongated shaft;
A self-expanding stent-graft prosthesis disposed on the elongate shaft, wherein the stent-graft prosthesis includes a radially compressible stent coupled to a tubular graft. Ingredients,
A plurality of elongated cables, each cable extending beyond the elongated shaft and including a first end and a second end extending distally beyond the stent-graft prosthesis;
A guide assembly disposed on the shaft, the distal end of the guide assembly configured to receive a second end of the cable;
A stent graft delivery system comprising: a distal tip assembly coupled to a distal end of the shaft, wherein the distal tip assembly and the guide assembly are movable relative to each other. And
In a first relative position of the distal tip assembly and the guide assembly, a proximal portion of the distal tip assembly is a distal portion of the guide assembly to temporarily restrain the second end of the cable. And the cable tension can be selectively adjusted by the middle portion of each cable constraining the outermost crown of the stent, and the outermost surface of the stent. The crown is capable of both progressive and continuous radial expansion and contraction,
In a second relative position of the distal tip assembly and the guide assembly, the proximal portion of the distal tip assembly does not extend beyond the outer surface of the distal portion of the guide assembly, and the distal tip The assembly does not constrain the second end of the cable, and the intermediate portion of each cable does not constrain the outermost crown of the stent;
A stent graft delivery system characterized by the above.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/773,152 US9095463B2 (en) | 2013-02-21 | 2013-02-21 | Stent-graft delivery having a tip capture mechanism with elongated cables for gradual deployment and repositioning |
US13/773,152 | 2013-02-21 | ||
PCT/US2014/014712 WO2014130235A1 (en) | 2013-02-21 | 2014-02-04 | Stent-graft delivery system having a tip capture mechanism with elongated cables for gradual deployment and repositioning |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2016511042A JP2016511042A (en) | 2016-04-14 |
JP2016511042A5 true JP2016511042A5 (en) | 2017-01-05 |
JP6261619B2 JP6261619B2 (en) | 2018-01-17 |
Family
ID=50151387
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015559252A Active JP6261619B2 (en) | 2013-02-21 | 2014-02-04 | Stent graft delivery system with tip capture mechanism with elongated cable for gradual deployment and repositioning |
Country Status (5)
Country | Link |
---|---|
US (1) | US9095463B2 (en) |
EP (1) | EP2958528B1 (en) |
JP (1) | JP6261619B2 (en) |
CN (1) | CN105007865B (en) |
WO (1) | WO2014130235A1 (en) |
Families Citing this family (27)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9011468B2 (en) | 2011-09-13 | 2015-04-21 | Abbott Cardiovascular Systems Inc. | Independent gripper |
US9855160B2 (en) * | 2013-03-14 | 2018-01-02 | W. L. Gore & Associates, Inc. | Endoprosthesis delivery systems with deployment aids |
US9561103B2 (en) | 2013-07-17 | 2017-02-07 | Cephea Valve Technologies, Inc. | System and method for cardiac valve repair and replacement |
WO2016093877A1 (en) | 2014-12-09 | 2016-06-16 | Cephea Valve Technologies, Inc. | Replacement cardiac valves and methods of use and manufacture |
AU2016262564B2 (en) | 2015-05-14 | 2020-11-05 | Cephea Valve Technologies, Inc. | Replacement mitral valves |
US10849746B2 (en) * | 2015-05-14 | 2020-12-01 | Cephea Valve Technologies, Inc. | Cardiac valve delivery devices and systems |
WO2017049314A1 (en) * | 2015-09-18 | 2017-03-23 | Microvention, Inc. | Pushable implant delivery system |
CN106913408B (en) * | 2015-12-28 | 2018-10-26 | 先健科技(深圳)有限公司 | Transport system and intraluminal stent system |
US20170325952A1 (en) * | 2016-05-13 | 2017-11-16 | Boston Scientific Scimed, Inc. | Implant release system |
US11331187B2 (en) | 2016-06-17 | 2022-05-17 | Cephea Valve Technologies, Inc. | Cardiac valve delivery devices and systems |
CA3033666A1 (en) * | 2016-08-19 | 2018-02-22 | Edwards Lifesciences Corporation | Steerable delivery system for replacement mitral valve and methods of use |
CR20190381A (en) | 2017-01-23 | 2019-09-27 | Cephea Valve Tech Inc | Replacement mitral valves |
EP4209196A1 (en) | 2017-01-23 | 2023-07-12 | Cephea Valve Technologies, Inc. | Replacement mitral valves |
EP4062875B1 (en) * | 2017-03-14 | 2024-05-08 | Shape Memory Medical, Inc. | Shape memory polymer foams to seal space around valves |
US10433961B2 (en) | 2017-04-18 | 2019-10-08 | Twelve, Inc. | Delivery systems with tethers for prosthetic heart valve devices and associated methods |
US20180303609A1 (en) | 2017-04-19 | 2018-10-25 | Medtronic Vascular, Inc. | Catheter-based delivery device having segment with non-uniform width helical spine |
CN109381286B (en) * | 2017-08-09 | 2023-09-19 | 先健科技(深圳)有限公司 | Conveying device and conveying system |
CN109567981B (en) * | 2017-09-29 | 2024-09-20 | 上海微创心脉医疗科技股份有限公司 | Support system, conveying device thereof, rear release structure and support |
JP7347894B2 (en) | 2018-03-19 | 2023-09-20 | Sbカワスミ株式会社 | Indwelling device and tubular treatment device |
CN110510150B (en) * | 2018-05-21 | 2022-06-21 | 哈尔滨工业大学 | Spider web capturing structure based on intelligent composite material and capturing method thereof |
WO2020030073A1 (en) * | 2018-08-09 | 2020-02-13 | 杭州唯强医疗科技有限公司 | Conveying device and conveying system for controlling step-by-step release of stent |
WO2020035892A1 (en) * | 2018-08-13 | 2020-02-20 | オリンパス株式会社 | Stent delivery device, stent delivery system and method |
CA3132873A1 (en) * | 2019-03-08 | 2020-09-17 | Neovasc Tiara Inc. | Retrievable prosthesis delivery system |
GB201904922D0 (en) * | 2019-04-08 | 2019-05-22 | Vascutek Ltd | Medical device release apparatus, system and method of use |
CA3147410A1 (en) * | 2019-07-15 | 2021-01-21 | Evalve, Inc. | Proximal element actuator fixation and release mechanisms |
CN110801309B (en) * | 2019-10-20 | 2022-03-29 | 黄健兵 | Tectorial membrane stent blood vessel composite set for reconstructing aortic arch part and three branches |
US20230123047A1 (en) | 2020-03-27 | 2023-04-20 | SB-Kawasumi Laboratories, Inc. | Indwelling device |
Family Cites Families (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR20020082872A (en) * | 2000-03-14 | 2002-10-31 | 쿡 인코포레이티드 | Edovascular stent graft |
US7105016B2 (en) | 2002-04-23 | 2006-09-12 | Medtronic Vascular, Inc. | Integrated mechanical handle with quick slide mechanism |
US6911039B2 (en) * | 2002-04-23 | 2005-06-28 | Medtronic Vascular, Inc. | Integrated mechanical handle with quick slide mechanism |
EP1509271B1 (en) | 2002-05-29 | 2005-11-23 | William A. Cook Australia Pty. Ltd. | Trigger wire system for a prosthesis deployment device |
US8292943B2 (en) | 2003-09-03 | 2012-10-23 | Bolton Medical, Inc. | Stent graft with longitudinal support member |
US7143925B2 (en) * | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
US20060155366A1 (en) | 2005-01-10 | 2006-07-13 | Laduca Robert | Apparatus and method for deploying an implantable device within the body |
CN101045022B (en) * | 2006-03-30 | 2010-08-25 | 温宁 | Self-expanding stent axial wire-drawing tensioning mechanism |
US20090276027A1 (en) | 2008-05-01 | 2009-11-05 | Medtronic Vasscular, Inc. | Stent Graft Delivery System and Method of Use |
GB0815339D0 (en) * | 2008-08-21 | 2008-10-01 | Angiomed Ag | Method of loading a stent into a sheath |
JP5347175B2 (en) | 2008-06-04 | 2013-11-20 | クック・メディカル・テクノロジーズ・リミテッド・ライアビリティ・カンパニー | Introducer |
EP2322120B1 (en) * | 2008-09-30 | 2013-04-24 | Terumo Kabushiki Kaisha | Stent delivery system |
US20100268317A1 (en) * | 2009-04-17 | 2010-10-21 | Medtronic Vascular, Inc. | Stent Graft Restraining Mechanism for a Delivery System (Catheter) |
BR112012002439A2 (en) * | 2009-08-03 | 2017-08-08 | Terumo Kk Terumo Corporation | stent delivery system |
US8663305B2 (en) | 2010-04-20 | 2014-03-04 | Medtronic Vascular, Inc. | Retraction mechanism and method for graft cover retraction |
US8623064B2 (en) | 2010-04-30 | 2014-01-07 | Medtronic Vascular, Inc. | Stent graft delivery system and method of use |
US8747448B2 (en) | 2010-04-30 | 2014-06-10 | Medtronic Vascular, Inc. | Stent graft delivery system |
JP6450520B2 (en) | 2010-06-24 | 2019-01-09 | カーディナルヘルス スウィツァーランド 515 ゲーエムベーハー | Elongated vascular graft delivery device |
-
2013
- 2013-02-21 US US13/773,152 patent/US9095463B2/en active Active
-
2014
- 2014-02-04 CN CN201480009692.4A patent/CN105007865B/en active Active
- 2014-02-04 EP EP14705921.6A patent/EP2958528B1/en active Active
- 2014-02-04 WO PCT/US2014/014712 patent/WO2014130235A1/en active Application Filing
- 2014-02-04 JP JP2015559252A patent/JP6261619B2/en active Active
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP2016511042A5 (en) | ||
JP2020508086A5 (en) | ||
JP2013107020A5 (en) | ||
JP2019510579A5 (en) | Delivery system having an introducer sheath and a distal sheath | |
US20190307471A1 (en) | Controllable retriever with distal clot anchor | |
IN2014DE00458A (en) | ||
EP4295819A3 (en) | Self-expanding stent delivery system | |
EP4374907A3 (en) | Expandable sheath and methods of using the same | |
WO2008021779A3 (en) | Custom length stent apparatus | |
JP2012501725A5 (en) | ||
JP2014514013A5 (en) | ||
WO2015148284A8 (en) | Closed tip dynamic microvalve protection device | |
WO2014188412A3 (en) | Ascending aorta stent-graft system | |
JP2017506983A5 (en) | ||
JP2020508085A5 (en) | ||
JP2012513878A5 (en) | ||
EP4356947A3 (en) | Guide extension catheter | |
JP2011522590A5 (en) | ||
JP2015524736A5 (en) | ||
JP2015518741A5 (en) | ||
JP2014533559A5 (en) | ||
WO2014033553A3 (en) | Catheter with retractable sleeve and method of using catheter system | |
JP2015515887A5 (en) | ||
RU2011117988A (en) | SELF-EXTENDING STENT DELIVERY SYSTEM | |
WO2013116521A3 (en) | Guide extension catheter |